Individual provider Active NPI

Matthew Lindsten, D.D.S.

  • Dentist
  • Rockford, IL
National Provider Identifier
1861620775
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028054 Issued in IL
Practice address
1437 S Bell School Rd Ste 2
Rockford, IL 61108-1405
Phone
(815) 398-3900
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019028054 IL Primary

Addresses

Primary practice location

1437 S Bell School Rd Ste 2
Rockford, IL 61108-1405

Mailing address

683 Red Deer TRL
Belvidere, IL 61008-2016
Phone (815) 520-1801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019028054ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsten Family Dentistry Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1861620775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 RED DEER TRL",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610082016",
            "telephone_number": "815-520-1801",
            "fax_number": "779-552-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 S BELL SCHOOL RD STE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081405",
            "telephone_number": "815-398-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTEN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.